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HomeMy WebLinkAbout0985 ~ • ( • ' ! I ~ - ~ - - ~ _ . - ' . . ' ; _ ? ~ - _ . . . ~ ~ . ~ ~ ; . ~ _ : ~ ' CERTIFICAT~ OF QEATH • 1~I~ew1 ~1 IIesK ~1 Re~111aM~e i~s+~icay . fYATt ?1~ N0. ui.~on u. ~.~?~-.a P L O R I D 1C ; nn. o~ rdM n. w~rww~?~.nws I~(OIST11A11•! NO. GS~I N~MAIRNt tN~ ~M~ u OA A ~ ror+*. N~. nu~ , ' 1H YA/M~ IM . ~ ~ ~ } . ~AGE ~W. arM[w Muw. AG!-uN ~ ~ • OA1! C~ Mt. OOIMAY 01 ON?~M~ } 6699 ~w~••~ W1fte 96• ~•w,~ , ~Marrh 13 1 8 ~ . . A rsM cw urw AL O~t - ¦a r wr~~, «w s~Mn r r~~ ~ tMCrr N~ M NO ,,a Ft. P3~ . h I'1o 3111 South F+e3e~r~a~l -H~ic~th~,iaay~ P't. Piero~e. F1a.33450 A ~N ~M MO~ M r-~J.~ MW ~0. ~Y~ ~0. SIR~~R~ 7~\/Vi~ ~w. NN Y~M~ IMIY~ ~ ~wrMlMrt~ • ~ . i0~l~w~'. V•~.~• rM~O~~~,O! ~Mt~~ 11. l~V~~~ .~w ww.w oo[wA ~~w w a.ew ~w w~.~ ror a p+o Or Mlf~:s Oe ~Malitw .~a. wn ~osr~ uM. wM ~ N~w ~ . eon.n. r te~' ~a QOI18tYUCtiCR : ~~.....a,...~. n ~67-54-~4~7 A u.. ~ NMNKf MOA MMI t~ t~/~ ~ ~ ~rr~MOU. ~ ~fU COMAt CI~. fdMR~. O~ 1OG110M ~ Mrt+r tH O~ MO i ~ w Fl,aorida St. UiCie Ft. Piex~oe +N -1~ SOUth n,r .w„ MO~~-•MOn+ w.K nu. .wu w~ r.. 11. a1OYO~i~.O~?1~ M. 1 - • MAU~G ~CO~lt ~~n a ~.~i. rs., ar. a a.w. wR sl . . .~k G. Ni~d»lsa~ u. Booc 250 Pk~aaYds Ad. . Pi . 3 , ~ otww~ Mn?s S~o n?. ilr+?tt C~rKr art aas[ r~ u~E ~oe /•11~1 ~o t4~ . a~......p. • ~ M V~.~ s- ~'i*,~ vt u~"~"~ F ~ ' . . t~~MaM1~ - ~ . ~wM~N utM M{, ~ • pwYMK~ Ch ~ . i NiwN t~ W~ - . w ~~GU n - M~1 O~R11 SIO?MiGwT GONO~oONk w~sa ca.~w.~ .e w.~ wr.a~ ruw~ .o c.~ aww r. ?w ~ rr MrtO~sr r rES .ae awMo•. cow ~ ~ ~ ~ n~~.~.. . a . ,i ~!o~h. ~••,•w~ 11ow MJw~ OCCYM[o ~ww~ wwr a rww «~,w w. w. N. O~ ' • r i E ~ k ~ u ~or. ~u.. swrn. r.c+o~.. ~OCAflOM ~ sw~a e~ a~.~. ro., w. e~ ~swy M.+e ? € 1 ~~wso~~~ r~.,at- ~wcr~~ . ~ 1i. fy . ~OI7y Mt ~ ~W obw . Ms ~!Y Wt Y~ w~/~ YM OM 1 M 2~~~ M NA1l~ OCGI~~ ~f N/O. b~ M ~IO M? - pp YM N~R ~~OM~ W. q~ MP ~~~NMq M Or'~ trpYMl. M r. ..a•.n..o. 8-2 - f t+a 12-21-'j6 12-1'j-'r nr- ~ U n. .e..u.rs~ww.. tlpM : a. +n wn a r ww or M.« ~w Mc~w .r~ na~owKw ~w . t~~rw~Ow OR w~ w/M w~ r~lffq~~Ow, r w p~rb~. . . ~b~ ~ Mt .W ~M - N~~ OOL7~w OM M MR ~ri M O A! WM~Y tW~. ' M If - ~..a:..~ .....a~. _2~7~......~ ~ ~I?a~a~'o R. CoIIpl~e . Jr. M. ~ ; ~ ~~`~.?.~#1 Suite 15;..~a., t . Lu a. " ~ ~ _ NIMIN. dEMnflOM. ~MO'~At TE~1I OII C1EMAiO~t-NAME lOG . . o~. w a~r ~ ~..M ' Burial „y,fifte Ci.ty (7enete~y _ P't. P~$roe. Fla. 33450 ~ ~i..or~. • w tur+Ei~u MOME-r+~uH ~ooRrff ~ swo o~ u~ wo.. cw. ~an. e+~ ~ Dea~ember ~4,~~76 „Xates FLu~er ' ti~o~me. Inc., P.d.Hox ~'~l, F't. Pieroe, F7a. 33450 r. S. ~612 i-- ~cws _sica.n~E/~ ~ .eoon.. ~ A~~.19T0 ~ G% ^ - ~1? iZ- -7 i f ` f ~ M~ b ~ ~ Jur 10 9 ~ ~l~;~1 ~ R~stn?'s reoo?d on file in the St. lucis ~ rt~t ~t fat Pierce. Fiaida. ~ • - ~ . (VYamin~: Not valid unless raised seal of the St. lucf~ p~ . - ~~1 CtEMC u~w raEO T . f :A. : ~ . L~, C~wnty Flealth Departmsnt is affix~d.) 08ER P01TAa s~~~ S • 3~ b,~, . C~RK CIRCUIT CtlURt ^ : "~'-~~,~r,;~3a; ' ~ . AKiRD 1?ERINED . f ~ „~$~'~r _ , . N. D. MILIER, M. D. ~f4r~~,~x ` ~ ~ , . - I , _ , ~ f r~~y~Y COllflfr HAA~ff1 ~Iqf ~ (,OCa~ Ishat _ S~- - ' ~~rf,.+~ •~Ir"~ /`fi~0~~ ~f0 / ~ =t'ir-~~• F . 4 ~ r_~'~4 . . ~ O~N O~pllfy t~Otal R~filttrsl ~ _ ~}f', r'~' ~ (r ",:•vr`•~DZ},` - t~~rv` G''' y:,t:. • - ~ a.-. . } L tit . - . ~ 4.1' . . _ - ~ _ ~~;r`b'.i j~ii ~.~i lt~tY.i''. ' ' ~ ' ~ ~ _ .~a:~ ~.~~~;%l~ti + ~i~~.a~~~ . I ~ ( :.~~s' ~z62 ~ 988 . `~`~:~~~f r E ' ~ . - • ~ .